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Apply for a vehicle loan
Please fill in all fields with an
*
1
About your purchase
2
More about you
Fields marked with a
*
are mandatory.
About your purchase
What information do you have?
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None - I'm still looking
Registration
Trade Me Listing
Make, Model, Year
Registration
Value:
Trade Me listing #
Value:
Make
Value:
Model
Value:
Year
Value:
About the loan
Purchase price
Value:
Deposit
Value:
Loan amount
$123.456
About you
Title
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Mr
Mrs
Ms
Miss
Dr
Prof
First name
Value:
The First name fields are both required.
Middle name
Value:
The Second name fields are both required.
Last name
Value:
The Last name fields are both required.
Date of birth
Value:
Email address
Value:
Phone number
Value:
Relationship status
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Married
De facto
Single
Separated
*
I have read, understood and accept the
terms and conditions
.
*
I also confirm that all information I provide is correct, complete, and not misleading and that I am not an undischarged bankrupt.
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or
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Personal details
Living situation
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Own
Rent
Board
Living with parent/guardian
Other
Current address
Value:
Time at current address
Years
Months
Mortgage or rent payments
first val default..
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Weekly
Fortnightly
Monthly
Previous Address
Value:
Time at previous address
Years
Months
Driver's licence
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Full Licence
Restricted Licence
Learner Licence
Overseas Licence
None
Driver's licence number
Value:
Item 5a on your licence
Version number
Value:
Item 5b on your licence
Employment details
Employed
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Full time
Part time
Self employed
Benefit
Other
Occupation
Value:
Employer
Value:
Name of business
Value:
Employer's address
Value:
Business address
Value:
Time at current job
Years
Months
Net Income
first val default..
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Weekly
Fortnightly
Monthly
Previous employer/Name of business
Value:
Previous employer address
Value:
Time at previous job
Years
Months
Assets and liabilities
Value
Amount owed
Monthly repayments
Cash in bank
Value:
Home
Value:
Owed:
Monthly:
Vehicles
Value:
Owed:
Monthly:
Boats
Value:
Owed:
Monthly:
Hire purchases
Owed:
Monthly:
Personal loan
Owed:
Monthly:
Credit card
Owed:
Monthly:
Other
Value:
Owed:
Monthly:
Additional notes
Please inform us of any other relevant information
*
I have read, understood and accept the
terms and conditions
.
*
I also confirm that all information I provide is correct, complete, and not misleading and that I am not an undischarged bankrupt.
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Bad Credit
Contact us
0800 666 021
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